Mobile Medical Eyecare LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MOBILE MEDICAL EYECARE LLC

Practice address

22601 Allen Rd Ste 400
Woodhaven, MI 48183-2273

Phone

(888) 628-5535

Fax

(888) 892-3080

NPI assigned

Jan 4, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Kimberly N Nauseda

Title

Director of Vision Services

Phone

(888) 628-5535

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1515024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538092800000",
    "number": "1396252995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24293 TELEGRAPH RD STE 212",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480337903",
            "telephone_number": "888-628-5535",
            "fax_number": "888-892-3080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22601 ALLEN RD STE 400",
            "city": "WOODHAVEN",
            "state": "MI",
            "postal_code": "481832273",
            "telephone_number": "888-628-5535",
            "fax_number": "888-892-3080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE MEDICAL EYECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-04",
        "last_updated": "2018-09-28",
        "status": "A",
        "authorized_official_last_name": "NAUSEDA",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "DIRECTOR OF VISION SERVICES",
        "authorized_official_telephone_number": "888-628-5535",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phyl-Kia Miller
• Sarah Elizabeth Miller, OTR
• Francis V Mitek, MD
• MJS Medical Supplies LLC
• Mobile Medical Care PLLC
• Mohammed Alogaily M.D. P.C.
• Matthew Moritz, PHARMD
• Sheila Ann Morrison
• Mackenzie R Mousouleas, OTR/L
• My Urgent Dentistry PLLC

• Optometrist in Woodhaven, MI
• Providers in Woodhaven, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.